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Clinical Updates In Obstetrics And Gynecology (pb) 2016 by Sharma
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CLINICAL ESSAYS IN OBSTETRICS AND GYNAECOLOGY FOR MRCOG PART II 2e(pb)2011
Author: SEEMA SHARMA
ISBN: 9789350253885
Year: 2011
Publisher: JAYPEE BROTHERS MEDICAL PUBLISHERS PVT LTD.
Category: OBSTETRICS & GYNAECOLOGY
Edition: 2
Format: Paperback
Language: English
 ABOUT THE TITLE
MRCOG is a UK based exam. You need to read their books and guidelines and answer questions as if you are in a UK hospital. Some situations may be peculiar to that part of the world and one should accept and prepare oneself accordingly. Enroll in the trainees register and visit the RCOG website frequently. Read all the guidelines and statements issued by the college, including the NICE, FFPRC guidelines and CEMACH reports. Read as many SAQ books as possible. It is best to attempt at least one question
per day in stipulated time, but if that is not possible at least go through the text in your free time. It familiarises the student with the important course content and decreases the possibility of encountering the unknown at the time of final examination. Make your own list of common percentages from the guidelines and other text on the RCOG website. List of autosomal dominant and recessive conditions, survival at key gestational ages, and at various stages of malignancies can be prepared. Keep this list handy and refer to it frequently so that it can be used in essay questions to support your arguments and in multiple choice questions. It helps to stay calm. Practice some kind of meditation, deep breathing or exercise regimen. At least two weeks prior to the examination date, set your body rhythm according to the examination timetable in your country. In India the exam usually starts at noon and goes on till late evening. Practice the essays, MCQs and EMQs as if in actual exam situation. Learn to incorporate certain terms in your essays, the politically correct words as they say;

• Multidisciplinary treatment
• Information leaflets/ written information to the woman
• Additional counselling whenever the couple requires
• Informed decision by the woman, sympathetic and non-judgmental attitude
• Anti-D whenever applicable in a nonsensitised rhesus negative woman
• Treatment according to hospital protocols
• Refer to specialist care or tertiary set up, involve support groups
• Some women may be normal with a given condition and may require only reassurance.
• Clear documentation of the counselling session/procedure/woman’s wishes in the case notes whenever the question demands.
• Folic acid to be started.
• Breastfeeding is not contraindicated (except HIV, phenylketonuria, lactose intolerance in baby)
• Skills and drills in all obstetric emergencies with continued professional development.
• Pregnancy test wherever relevant.
• Always try and add the 3 C…. Chlamydia screening, cervical smear, contraception advice.

Author: Seema Sharma
Untitled Document
 TABLE OF CONTENTS
Paper 1 ........ 1-10
• Obesity in pregnancy
• Urinary retention after forceps delivery
• Uterine perforation while performing MTP
• Investigation and management of sexual assault
Paper 2 ....... 11-20
• Management of breast lump in a pregnant woman
• Swine flu exposure in pregnancy
• Vaginal discharge in an 8-year-old girl
• Management of puerperal mastitis and abscess
Paper 3 ...... 21-29
• Prevention of pelvic floor damage due to childbirth
• Chickenpox exposure in pregnancy
• Recurrent pregnancy loss, LIT therapy
• Prescription of oral pills for a 15-year-old woman
Paper 4 ...... 30-36
• VBAC versus LSCS in a woman with previous scar
• Air travel in pregnancy
• Chemotherapy and chemoradiation in gynaecological cancers
• Endometriosis and tubal blockage in an infertile woman
Paper 5 ...... 37-45
• Preparations for elective LSCS in breech presentation with fibroids
• Management of unruptured ectopic pregnancy
• LARC in migraine
• Investigation and management of azoospermia
Paper 6 ...... 46-55
• Preconception counselling and management of SLE in a pregnant woman
• Postpartum haemorrhage
• Primary amenorrhoea
• Complete molar pregnancy, persistent bleeding after evacuation
Paper 7 ...... 56-64
• GBS in vaginal growth in a woman with PROM at 35 weeks
• Choroid plexus cyst in a foetus at 20 weeks scan
• PMS
• Ambiguous genitalia in a newborn, investigations and management
xiv ? Clinical Essays in Obstetrics and Gynaecology for MRCOG Part II
Paper 8 ...... 65-73
• Shoulder dystocia and its management
• Plan of care of an IVF pregnancy, cord blood banking
• Investigations and management of urinary incontinence
• Breakthrough bleeding on pills
Paper 9 ...... 74-82
• Bleeding P/V during pregnancy
• Use of anti-D during pregnancy
• First counselling of an infertile couple
• Management options for fibroid uterus
Paper 10 ........ 83-92
• Management of breech presentation at 37 weeks, ECV
• Anterior abdominal defects in a foetus on anomaly scan
• Abortion on request—Relevant issues
• Advice and management of missed pills
Paper 11 ........ 93-100
• Management and counselling of epilepsy in pregnancy
• PPROM at 25 weeks with transverse lie
• Management of vault prolapse after hysterectomy
• Early foetal demise after IVF
Paper 12 ....... 101-109
• Management and complications of hyperemesis in pregnancy
• HELLP syndrome management
• Management of postcoital bleeding in a young woman
• Painful periods in an 18-year-old—Investigations and management
Paper 13 ....... 110-118
• Pregnancy in a heavy smoker
• Management of slow progress of labour
• Bladder injury during hysterectomy
• Ovarian cyst in a young woman
Paper 14 ....... 119-126
• Postpartum dyspareunia—Investigations and management
• Domestic violence in a pregnant woman
• Premature ovarian failure, issues regarding oocyte donation
• Contraceptive advice in a 42-year-old woman
Paper 15 ....... 127-135
• Management of pregnancy at 41 weeks
• High grade fever in pregnancy—Investigations and management
• Bowel damage during laparoscopic surgery
• Emergency contraception
Paper 16 ....... 136-144
• Teenage pregnancy care
• Hypothyroidism in pregnancy
Contents ? xv
• Diagnosis and implications of PCOS
• Recurrent pelvic pain, consent for hysterectomy
Paper 17 ....... 145-152
• Parvovirus B-19 infection in pregnancy
• Pregnancy with previous history of thromboembolism
• Endometrial hyperplasia—Management
• Counselling for tubal ligation
Paper 18 ....... 153-160
• Foetal reduction in a quadruple pregnancy
• Severe anaemia in pregnancy
• Safe laparocopic entry into the abdomen
• Bilateral chocolate cysts of ovary— Management
Paper 19 ....... 161-169
• Pain relief during labour, counselling for epidural analgesia
• Implications of hyperechogenic bowel on anomaly scan
• Recurrent urinary infections and their management
• Precocious puberty in a 7-year-old girl
Paper 20 ....... 170-178
• Pyelonephritis in pregnancy
• Severe dyskaryosis on Pap smear during pregnancy
• Retained vaginal swab in vagina found during puerperium
• Contraceptive advice for a 15 -year-old woman, Fraser guidelines
Paper 21 ....... 179-187
• Counselling for Down’s syndrome, amniocentesis
• Pregnancy with history of severe depression after last childbirth
• Counselling of a woman with family history of ovarian and breast cancer
• Delayed puberty—Management
Paper 22 ....... 188-196
• Obstetric cholestasis during pregnancy
• TTTS, IUD in one twin
• Lichen sclerosus
• HRT for hot flushes
Paper 23 ....... 197-208
• Gestational diabetes
• Pregnancy with HIV positive result
• Painful micturition, management of interstitial cystitis
• Recurrent vaginal discharge in a woman—Investigations and management
Paper 24 ....... 209-217
• Consent for post-mortem of a fresh, unexplained stillborn foetus
• Peripartum cardiomyopathy
• Ovarian hyperstimulation syndrome and its management
• Family history of osteoporosis and poor T- score on DEXA scan
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